Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC Dressing Polymem 4.5x4.5in
Low
$0
Average
$89
Median
$29
High
$2.2k
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 39 hospitals; the 90th percentile is 7.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St Luke's Magic Valley Regional Medical Center, LTD Twin Falls, ID | $24 | $24 | $3 | 11% | 12–120 | $15 – $61 |
| 2 | St Luke's Regional Medical Center, LTD Boise, ID | $27 | $27 | — | — | 6–60 | $15 – $58 |
| 3 | Tufts Medical Center BOSTON, MA | $14 | $12 | $2 | 20% | 3–30 | $2 – $14 |
| 4 | Eskenazi Health Indianapolis, IN | $2.2k | $2.2k | — | — | 1–10 | $27 – $32.8k |
| 5 | Armstrong County Memorial Hospital Kittanning, PA | $98 | $98 | — | — | 1–10 | $20 – $109 |
| 6 | St. John Sapulpa, Inc. Sapulpa, OK | $39 | $39 | — | — | — | $39 – $39 |
| 7 | Owasso Medical Facility, Inc. Owasso, OK | $39 | $39 | — | — | — | $39 – $39 |
| 8 | St. John Medical Center, Inc. Tulsa, OK | $39 | $39 | — | — | — | $39 – $39 |
| 9 | Jane Phillips Memorial Medical Center Bartlesville, OK | $39 | $39 | — | — | — | $39 – $39 |
| 10 | Jane Phillips Nowata Hospital, Inc. Nowata, OK | $39 | $39 | — | — | — | $39 – $39 |
Ask Claude or any MCP client for HCPCS A6210 pricing at a specific hospital — see how to connect.